Popliteal Artery Occlusion Due to Femur Exostosis in a Patient With Rheumatoid Arthritis: A Rare Cause of Chronic Limb-Threatening Ischemia.
| Autor: | AlHamzah M; Department of Surgery, King Saud University, Riyadh, SAU., Alshaygy I; Department of Orthopedics, King Saud University, Riyadh, SAU., Alanezi T; Department of Surgery, King Saud University, Riyadh, SAU., Bedaiwi MK; Department of Medicine, King Saud University, Riyadh, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 22; Vol. 16 (9), pp. e69926. Date of Electronic Publication: 2024 Sep 22 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.69926 |
| Abstrakt: | Bony exostoses, or osteochondromas, are benign bone tumors that usually develop at growth plates during the growth period. Large exostosis can compress nearby vascular structures, causing occlusion, perforation, or pseudoaneurysm. We report a case of a middle-aged woman with rheumatoid arthritis (RA) and atherosclerotic risk factors who had an unusual presentation of chronic limb-threatening ischemia (CLTI) of the left leg combined with a flare-up of RA. She was found to have an occluded left popliteal artery due to a large femur exostosis. An uncomplicated left femoral-to-popliteal bypass was performed using a reversed great saphenous vein without excision of exostosis. Her ischemic symptoms have been resolved during a 30-month follow-up period. A high index of suspicion is required in such a case to reach the correct diagnosis and prevent catastrophic limb loss. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Health Sciences Colleges Research on Human Subjects issued approval E-24-8990. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, AlHamzah et al.) |
| Databáze: | MEDLINE |
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